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Chlamydia Screening in Women (CHL) – HEDIS Measure

Answer the questions to confirm eligibility and compliance criteria, this is applicable to Medicaid and Commercial members only.

Is the member* 16-24 years of age during the measurement year AND identified as sexually active during the measurement year, as determined by ONE of the following:

  1. Pharmacy data for dispensed contraceptive – Refer to Table 1
  2. Claim/encounter for pregnancy test *Applicable to Commercial and Medicaid members
Table 1: Prescriptions to Identify Contraceptives
Contraceptives
  • Desogestrel-ethinyl estradiol
  • Dienogest-estradiol multiphasic
  • Drospirenone-ethinyl estradiol
  • Drospirenone-ethinyl estradiol-levomefolate biphasic
  • Ethinyl estradiol-ethynodiol
  • Ethinyl estradiol-etonogestrel
  • Ethinyl estradiol-levonorgestrel
  • Ethinyl estradiol-norelgestromin
  • Ethinyl estradiol-norethindrone
  • Ethinyl estradiol-norgestimate
  • Ethinyl estradiol-norgestrel
  • Etonogestrel
  • Levonorgestrel
  • Medroxyprogesterone
  • Mestranol-norethindrone
  • Norethindrone
Diaphragm
  • Diaphragm
Spermicide
  • Nonxynol 9

Did the member receive at least one chlamydia screening test during the measurement year?

Member does not meet compliance for this measure

Billing Codes

  • CPT® LOINC SNOMED CT US Edition
    87110, 87270, 87320, 87490, 87491 ,87492, 87810 14463-4, 14464-2, 14467-5, 14474-1, 14513-6, 16600-9, 21190-4, 21191-2, 21613-5, 23838-6, 31775-0, 31777-6, 36902-5, 36903-3, 42931-6, 43304-5, 43404-3, 43405-0, 43406-8, 44806-8, 44807-6, 45068-4, 45069-2, 45075-9, 45076-7, 45084-1, 45091-6, 45095-7, 45098-1, 45100-5, 47211-8, 47212-6, 49096-1, 4993-2, 50387-0, 53925-4, 53926-2, 557-9, 560-3, 6349-5, 6354-5, 6355-2, 6356-0, 6357-8, 80360-1, 80361-9, 80362-7, 91860-7 104175002, 104281002, 104282009, 104290009, 117775008, 121956002, 121957006, 121958001, 121959009, 122173003, 122254005, 122321005, 122322003, 134256004, 134289004, 171120003, 285586000, 310861008, 310862001, 315087006, 315094009, 315095005, 315099004, 390784004, 390785003, 395195000, 398452009, 399193003, 407707008, 442487003, 707982002

Member meets compliance for this measure.